Provider Demographics
NPI:1962527051
Name:BAXTER, LOUIS E (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:E
Last Name:BAXTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ORLY WAY
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:742 ALEXANDER RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6327
Practice Address - Country:US
Practice Address - Phone:609-919-1660
Practice Address - Fax:609-919-1611
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ037013207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine